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Arterial stiffness in acute COVID-19 and potential associations with clinical outcome.


ABSTRACT:

Background

Coronavirus disease 2019 (COVID-19) interferes with the vascular endothelium. It is not known whether COVID-19 additionally affects arterial stiffness.

Methods

This case-control study compared brachial-ankle pulse wave (baPWV) and carotid-femoral pulse wave velocities (cfPWV) of acutely ill patients with and without COVID-19.

Results

Twenty-two COVID-19 patients (50% females, 77 [67-84] years) were compared with 22 age- and sex-matched controls. In COVID-19 patients, baPWV (19.9 [18.4-21.0] vs. 16.0 [14.2-20.4], P = 0.02) and cfPWV (14.3 [13.4-16.0] vs. 11.0 [9.5-14.6], P = 0.01) were higher than in the controls. In multiple regression analysis, COVID-19 was independently associated with higher cfPWV (β = 3.164, P = 0.004) and baPWV (β = 3.532, P = 0.003). PWV values were higher in nonsurvivors. In survivors, PWV correlated with length of hospital stay.

Conclusion

COVID-19 appears to be related to an enhanced PWV reflecting an increase in arterial stiffness. Higher PWV might be related to an increased length of hospital stay and mortality.

SUBMITTER: Schnaubelt S 

PROVIDER: S-EPMC8013324 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature

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Publications

Arterial stiffness in acute COVID-19 and potential associations with clinical outcome.

Schnaubelt S S   Oppenauer J J   Tihanyi D D   Mueller M M   Maldonado-Gonzalez E E   Zejnilovic S S   Haslacher H H   Perkmann T T   Strassl R R   Anders S S   Stefenelli T T   Zehetmayer S S   Koppensteiner R R   Domanovits H H   Schlager O O  

Journal of internal medicine 20210321 2


<h4>Background</h4>Coronavirus disease 2019 (COVID-19) interferes with the vascular endothelium. It is not known whether COVID-19 additionally affects arterial stiffness.<h4>Methods</h4>This case-control study compared brachial-ankle pulse wave (baPWV) and carotid-femoral pulse wave velocities (cfPWV) of acutely ill patients with and without COVID-19.<h4>Results</h4>Twenty-two COVID-19 patients (50% females, 77 [67-84] years) were compared with 22 age- and sex-matched controls. In COVID-19 patie  ...[more]

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